The holder whose full name is WACK JR, THOMAS G,come from WHEELING WV,hold the Physician license(NO.01025696A) which status is Expired Non-Renewable.
Name | WACK JR, THOMAS G |
---|---|
License Number | 01025696A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | WHEELING |
State | WV |